6 - Gynae - Disorders of the Vulva and Vagina - Carcinoma of the Vulva Flashcards Preview

CP2 > 6 - Gynae - Disorders of the Vulva and Vagina - Carcinoma of the Vulva > Flashcards

Flashcards in 6 - Gynae - Disorders of the Vulva and Vagina - Carcinoma of the Vulva Deck (9):
1

age group most common in? 95% of vulval malignancies are ?
3 others that account for the rest of ca's?

>60
SCCs
BCC, adenocarcinomas, melanomas

2

aetiology - can arise from VIN or ??
also ass w lichen ? , ?, smoking and ? disease of vulva

de novo
sclerosus, immunosuppression
pagets

3

4 main clinical features

why often present late?

pruritis, bleeding, discharge, mass

lesions go unnoticed or embarrassment

4

Ex - ? or mass, mostly on labia ? or ?
inguinal ? may be enlarged, hard and ?

ulcer
majora
clitoris
LNs
immobile

5

Spread and staging - 50% presx at stage ?
vulval ca spreads ? by ? drainage of vulva > ? then ? inguinal nodes > ? > est iliac nodes
can spread contralateral - staging is ? and ?

stage 1
locally
lymph
sf
deep
femoral
surgical
histo

6

Ix - what is established with biopsy? what needed to asses fitness for surgery?

histo type/diagnosis
CXR, ECG, FBC, U+E, Cross match

7

describe staging

1 - vulva/perineum and no nodes
2 - any size, local spread, no nodes
3 - any size with positive nodes
4 - in upper urethra/vagina, rectum/bone/bladder or distant mets

8

trt - what first? then wide local ? with separate ? ? dissection, bilateral unless tumour ? from midline
? if LNs involved

biopsy
excision
groin node
>2cm
RTx

9

Prognosis - at stage 1 5y survival rate is ?
what about stages 3-4 ?

>95%
40%

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